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General NPI Number Information
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NPI Number | 1245030873
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Entity Type | Organization
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Legal Business Name | GENOVESE PSYCHIATRY SERVICES PC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 802 9TH AVE APT 4B
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City | NEW YORK
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State | NY
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Zip | 10019-5642
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Country | US
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Telephone | 844-263-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 802 9TH AVE APT 4B
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City | NEW YORK
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State | NY
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Zip | 10019-5642
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MICHAEL GENOVESE
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Credential | MD
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Telephone | 415-384-1208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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